Metronome Family Medicine provides gender-affirming care for transgender and nonbinary adolescents and adults in Longmont, Colorado.

Care is delivered within an ongoing physician relationship that prioritizes clarity, safety, and long-term health.

Gender-affirming care intersects with cardiovascular health, metabolic markers, bone density, mental health, and preventive screening. Providing this care within comprehensive family medicine allows for coordinated monitoring and accountable clinical oversight.

Care is individualized.
Monitoring is longitudinal.
Decisions are collaborative.

A Structured, Long-Term Approach

Gender-affirming hormone therapy requires thoughtful evaluation and follow-up over time.

Care includes:

• Careful baseline assessment
• Informed consent
• Ongoing laboratory monitoring
• Gradual dose adjustment
• Cardiometabolic risk evaluation
• Age-appropriate preventive screening coordination

The physician initiating therapy remains the physician overseeing broader health considerations.

There is no handoff between separate clinics.

Care remains continuous.

Who This Care Is For

Dr. Juan provides gender-affirming care for transgender and nonbinary children, adolescents, and adults seeking physician-led evaluation and longitudinal support.

Care for minors includes age-appropriate assessment, structured informed consent processes, and coordination with parents or legal guardians in accordance with current medical standards and applicable regulations.

All treatment decisions are based on medical appropriateness, current clinical guidelines, and shared decision-making.

Hormone Therapy Services May Include

• Testosterone therapy
• Estrogen therapy
• Progesterone therapy (when appropriate)
• Laboratory monitoring and dose titration
• Cardiovascular and metabolic oversight

Each care plan is tailored to individual goals, physiology, and long-term health considerations.

Safety and Clinical Oversight

Hormone therapy affects multiple physiologic systems, including:

• Lipid levels
• Blood pressure
• Hematocrit
• Insulin sensitivity
• Bone health
• Age-appropriate cancer screening

These elements are monitored cohesively to support both affirmation and long-term safety.

Affirmation and medical rigor are not opposing concepts.
They are inseparable.

Whole-Person Care

Gender-affirming care often intersects with mental health, family systems, and social stressors.

As a family physician, Dr. Juan provides primary care that considers the whole person — including psychiatric medication management when appropriate and coordination with therapists or specialists as needed.

Care is delivered with respect, clarity, and accountability.

Continuity of Care

Some individuals access hormone therapy through standalone telehealth platforms or specialty clinics operating separately from broader medical oversight.

At Metronome Family Medicine, hormone therapy is managed within the same physician relationship that oversees preventive care, chronic conditions, and long-term health planning.

Preventive screenings remain current.
Medication interactions are reviewed.
Cardiometabolic markers are monitored.

Continuity supports both stability and safety.